STANISLAUS SUBACUTE REHAB LLC
NPI 1902788706
Skilled Nursing Facility in Modesto, CA

Active since July 23, 2025CLIA 05D2334093 · Waiver
1421 OAKDALE RD, MODESTO, CA 95355(209) 901-4212(209) 901-4218 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stanislaus Subacute Rehab Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STANISLAUS SUBACUTE REHAB LLC (NPI 1902788706) is a healthcare organization registered as a skilled nursing facility in Modesto, California and active in the NPI registry since July 2025. The organization holds a CLIA Waiver certificate valid through November 13, 2027 and lists Maria Munoz, Administrator, as its authorized official.

NPPES Registry Identity

NPI1902788706
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSTANISLAUS SUBACUTE REHAB LLC
Location Address1421 OAKDALE RDModesto, CA 95355-3356
Mailing AddressPo Box 4730Modesto, CA 95352-4730
Fax(209) 901-4218
Organization SubpartNo
Authorized OfficialMaria MunozAdministrator · (209) 901-4212
Enumeration DateJuly 23, 2025
NPPES CertifiedJuly 22, 2025
NPI 1902788706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
1421 OAKDALE RD, Modesto, CA 95355

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2334093

Stanislaus Subacute Rehab, LLC · Modesto, CA
Active · expires Nov 13, 2027
CLIA Number05D2334093
Laboratory TypeSubacute Rehab Services
Certificate Effective DateNovember 14, 2025
Certificate Expiration DateNovember 13, 2027
Laboratory DirectorNavneet K. Gill
Laboratory Phone(209) 324-7337
Laboratory LocationStanislaus Subacute Rehab, LLC1421 Oakdale Road, 2nd Floor, Modesto, CA 95355
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
1421 OAKDALE RD, #2
MODESTO, CA 95355
Anesthesiology
1421 OAKDALE RD, STANISLAUS SURGICAL HOSPITAL
MODESTO, CA 95355
Registered Nurse (Registered Nurse First Assistant)
1421 OAKDALE RD
MODESTO, CA 95355
Anesthesiology
1421 OAKDALE RD, STANISLAUS SURGICAL HOSPITAL
MODESTO, CA 95355
Physical Therapist
1421 OAKDALE RD
MODESTO, CA 95355
General Acute Care Hospital
1421 OAKDALE RD
MODESTO, CA 95355
Anesthesiology
1421 OAKDALE RD
MODESTO, CA 95355
Anesthesiology
1421 OAKDALE RD
MODESTO, CA 95355

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stanislaus Subacute Rehab LLC's NPI number?

The NPI number for Stanislaus Subacute Rehab LLC is 1902788706. It was assigned to this organization in the NPPES registry on July 23, 2025.

Where is Stanislaus Subacute Rehab LLC located?

Stanislaus Subacute Rehab LLC is located at 1421 Oakdale Rd, Modesto, CA 95355. The listed phone number is (209) 901-4212.

What is Stanislaus Subacute Rehab LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Stanislaus Subacute Rehab LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2334093) is associated with this NPI, valid through November 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Stanislaus Subacute Rehab LLC was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.